Remote Education Study Data Collection Form
Please complete the Remote Education Study Data Collection Form to help us understand your participation and experience with remote education.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Your Role
*
Student
Teacher
Parent/Guardian
Administrator
Other
Age Group
*
Please Select
Under 18
18-24
25-34
35-44
45-54
55 or older
How often do you participate in remote education sessions?
*
Daily
Several times a week
Weekly
Monthly
Rarely
Which remote education platform(s) have you used?
*
Zoom
Google Classroom
Microsoft Teams
Moodle
Canvas
Other
How would you rate your overall experience with remote education?
*
1
2
3
4
5
What challenges have you faced with remote education?
What improvements or suggestions do you have for remote education?
Would you be willing to participate in a follow-up study?
*
Yes
No
Submit
Should be Empty: